Reichgott M J, Simons-Morton B G
Prim Care. 1983 Mar;10(1):21-7.
Compliance is a critical issue in the treatment of hypertension. Strategies designed for individual patients, based on an analysis of their specific personality characteristics, are probably the most productive. At present, however, necessary educational diagnoses cannot easily be made. Therefore, more general strategies involving simplification of the treatment regimen, stimuli to appropriate behavior, positive reinforcement, increased attention by providers, and open communications should be employed. These are of particular value for patients with inadequately controlled blood pressure who admit to noncompliance.
依从性是高血压治疗中的一个关键问题。根据个体患者的特定性格特征制定的策略可能是最有效的。然而,目前难以轻易进行必要的教育诊断。因此,应采用更一般的策略,包括简化治疗方案、刺激适当行为、积极强化、医护人员增加关注以及开放沟通。这些策略对承认不依从且血压控制不佳的患者具有特别的价值。